Arthroscopic Hill-Sachs Filling Technique Using an Absorbable Interference Screw

We present an arthroscopic technique used to treat traumatic shoulder instability in the patient with a Hill-Sachs lesion, especially an off-track lesion. The incidence of this bony defect is approximately 40% to 90% of all anterior shoulder instability cases—and up to 100% in patients with recurren...

Full description

Saved in:
Bibliographic Details
Published in:Arthroscopy techniques (Amsterdam) 2022-12, Vol.11 (12), p.e2389-e2395
Main Authors: Di Giunta, Angelo C.C., Cassarino, Alfonso Massimiliano, Castorina, Sergio, Luca, Tonia, Romano, Alfonso Maria, Susanna, Massimiliano, Costa, Danilo
Format: Article
Language:English
Subjects:
Technical Note
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:We present an arthroscopic technique used to treat traumatic shoulder instability in the patient with a Hill-Sachs lesion, especially an off-track lesion. The incidence of this bony defect is approximately 40% to 90% of all anterior shoulder instability cases—and up to 100% in patients with recurrent anterior instability. Incorrect management of this humeral bone defect can lead to treatment failure, and it is essential to define characteristics such as the lesion’s location, depth, width, and orientation. Many arthroscopic and open procedures have been described for the surgical management of the Hill-Sachs lesion. Using arthroscopy for the surgical treatment of shoulder instability offers numerous advantages. We describe an arthroscopic technique that consists of filling the Hill-Sachs lesion with absorbable interference screws made out of an advanced biocomposite material. After repair of the Hill-Sachs lesion, the Bankart lesion is repaired. As these screws are resorbed by bone tissue over several months, the bony anatomy is restored. [Display omitted]
ISSN:2212-6287
2212-6287
DOI:10.1016/j.eats.2022.08.046